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171962 04/29/2009 a- CITY OF CARMEL, INDIANA VENDOR: 361879 Page 1 of 1 ONE CIVIC SQUARE OAK CREEK FARMS CARMEL, INDIANA 46032 PO BOX 195 CHECK AMOUNT: $8,250.00 COLUMBIA CITY IN 46725 CHECK NUMBER: 171962 «ay CHECK DATE: 4/2912009 D EPARTM E NT ACCOUNT PO NUMBER INV NUMB T AMOUNT DESCR 1192 4462400 1046 7,500.00 TREES 1192 .4350400 1050 675.00 GROUNDS MAINTENANCE 1192 4.462400: 1050 75.00 TREES d Oak Creek Farms, Inc I nvo i ce P.O. Box 195 Date Invoice Columbia City, IN 46725 4/l/2009 1046 Bill To Ship To' City of Carmel One Civic Square Carmel, IN 46032 a P.O. Number Terms Rep Ship Via F.O.B. Project 2% 10 Net 30 DS 4/1/2009 Quantity Item Code Description Price Each Amount 10 Alnus glutinosa Btack older 75.00 750.00 14 Cercidiphyllumjap... Katsura Tree 75.00 1.050.00 10 Metasequonia glypt... Dawn Redwood 90.00 900.00 10 Quercus Bur Oak 114.00 1.140.00 10 Ulmus Patriot Elm 126.00 1,260.00 20 Platanus x acenfolia London Plane `free 120.00 2,400.00 Doug Sorg 260 413 -8498 Fietd Address Oak Creek Farms 2170 SR 114 Columbia City, IN 46725 To tal $7,500,00 Oak Creek Farms, Inc Invoice P.O. Box 195 Date Invoice Columbia City, IN 46725 4/1/2009 1050 Bill To Ship To City of Carmel One Civic Square Carmel, IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 2% 10 Net 30 DS 4/1/2009 Quantity Item Code Description Price Each Amount 1 Freight Freight Delivery to TMT 750.00 750.00 �S Thank you for your business. T otal Offal $750.00 Prescribed by State Board of Accounts City Form N0. 201 (Rev. 1s95) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/01/09 1050 Freight for trees $675.00 04/01/09 1050 10% of freight $75.00 04/01/09 1046 Spring Trees $7,500.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer VOUCHER NO. WARRANT N ALLOWED 20 Oak Creek Farms IN SUM OF P.O. Box 195 Columbia City, IN 46725 $8,250.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 1050 43- 504.00 $675.00 1 hereby certify that the attached invoice(s), or 1192 1050 44- 624.00 $75.00 bill(s) is (are) true and correct and that the 1192 1046 44- 624.00 $7,500.00 materials or services itemized thereon for which charge is made were ordered and received except Frid April 2 2009 ector, CS Title Cost distribution ledger classification if claim paid motor vehicle highway fund